Lisa Park
NPI #1568857142 in Larkspur, California
Provider Information
- NPI Number
- 1568857142
- Entity Type
- Individual
- Name
- Lisa Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Colon & Rectal Surgery
- Enumeration Date
- Apr 1, 2015
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 5 BON AIR RD STE 101
- City
- Larkspur
- State
- California
- ZIP Code
- 94939-1134
- Phone
- (415) 924-2515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Colon & Rectal Surgery |
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